2018 Intermediate Sanctions & the Appeals Process for Home Health Agencies

Event Information
Product Format
Prerecorded Event
Conference Date
Thu, May 24, 2018
60 minutes
Product Description

Take Both an Offensive & Defensive Stance Against CMS Intermediate Sanctions

With the new home health conditions of participation (CoPs), home health agencies need to be keenly aware of what sanctions can be imposed as a result of an adverse survey.  And you need to do that without interpretive guidance from the Centers for Medicare & Medicaid Services (CMS). The agency has a wealth of remedies at its disposal—including civil monetary penalties and suspension of payment—that you’ll want to avoid.

In this instructive session, industry veteran Todd Selby will teach you how to do that by exploring the range of penalties that CMS can impose on home health agencies, with a detailed explanation of intermediate sanctions. In addition to helping you proactively avoid sanctions before and during the survey process, Selby will also show you how to play defense after the fact if faced with sanctions. He will address how to challenge the intermediate sanctions—both informally and formally—through the appeals process afforded home health agencies by CMS.

After attending this program, you will better understand the penalties you face—not only intermediate sanction types, but also how, when, and why CMS imposes sanctions. You will also know how to challenge intermediate sanctions prior, during, and after a survey. Don’t miss this opportunity to add an important tool to your home health agency’s CoP management & compliance toolkit.

Session Highlights

This session will discuss:

  • The intermediate sanctions that CMS can impose on home health agencies
  • The methodology by which CMS imposes intermediate sanctions
  • Immediate jeopardy termination actions
  • What home health agencies can do prior to, during, and after a survey to challenge the intermediate sanctions
  • How the appeals process works for home health agencies who want to formally challenge survey findings
  • How the intermediate sanctions are imposed
  • How to address potential intermediate sanctions informally
  • How to appeal the imposition of the intermediate sanctions

Session Agenda

  • Intermediate sanctions
  • Current enforcement environment
  • CMS’ intermediate sanctions
  • Regulatory and CMS guidance
  • Survey guidance
  • Immediate jeopardy
  • Intermediate sanctions
  • Civil money penalties
  • Suspension of payments
  • Temporary management
  • Directed plan of correction
  • Directed in-service training
  • Informal dispute resolution process
  • Preparing for the new reality

Who Should Attend

  • Home health administrators
  • Directors of nursing
  • Clinical managers
  • COOs
  • CEOs
  • CFOs
  • Billing personnel
  • Risk managers
  • Legal counsel

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

Order Below or Call 1-844-384-4744 Today

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About Our Speaker

Todd J. Selby

Attorney Todd focuses on regulatory and compliance issues affecting all health care providers with an emphasis on long-term care, home health and hospice providers. His practice is concentrated in the areas of licensure, certification, compliance and reimbursement at the local, state and federal levels. Todd also assists clients with Medicare and Medicaid enrollment and participation requirements and serves as a liaison between the clients and...   More Info
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